Wasserman K, Whipp B J, Casaburi R, Huntsman D J, Castagna J, Lugliani R
J Appl Physiol. 1975 Apr;38(4):651-6. doi: 10.1152/jappl.1975.38.4.651.
Increased CO2 flow to the lung produced by increasing cardiac output (with constant PVCO2) results in hyperpnea with arterial PCO2 maintained at its control value (J. Appl. Physiol. 36: 457, 1974). To study if arterial PCO2 could be similarly regulated when CO2 flow was elevated by increasing PVCO2 (without changing cardiac output), we produced graded increases in PVCO2 (up to a mean of 69 mmHg) using an extracorporeal gas exchanger in five chloralose-urethan-anesthetized dogs. CO2 output increased up to fourfold. Ventilation increased in proportion to the additional CO2 flow to the lung with consequent regulation of arterial PCO2 at its control value. Comparable increases in VE produced by "conventional" airway loading resulted in arterial hypercapnia. The resulting CO2 response curve was similar to that found in unanesthetized dogs. We conclude that intravenous delivery of CO2 to the lung results in infinite "sensitivity" when computed as Delta VE/Delta paco2. These results provide evidence for a CO2-linked hyperpnea which is not mediated by measurable increases in mean arterial PCO2.
通过增加心输出量(同时保持静脉血二氧化碳分压恒定)使进入肺部的二氧化碳流量增加,会导致呼吸加深加快,而动脉血二氧化碳分压维持在其对照值(《应用生理学杂志》36: 457, 1974)。为了研究当通过增加静脉血二氧化碳分压(而不改变心输出量)来提高二氧化碳流量时,动脉血二氧化碳分压是否能得到类似调节,我们使用体外气体交换器,使五只水合氯醛-乌拉坦麻醉犬的静脉血二氧化碳分压分级升高(平均高达69 mmHg)。二氧化碳排出量增加了四倍。通气量随进入肺部的额外二氧化碳流量成比例增加,从而将动脉血二氧化碳分压调节至其对照值。“传统”气道负荷引起的类似通气量增加导致动脉血二氧化碳过多。由此产生的二氧化碳反应曲线与未麻醉犬的相似。我们得出结论,以ΔVE/ΔPaCO₂计算时,静脉注射二氧化碳到肺部会导致无限的“敏感性”。这些结果为一种与二氧化碳相关的呼吸加深加快提供了证据,这种呼吸加深加快不是由平均动脉血二氧化碳分压的可测量增加介导的。